Health and Vaccinations for Nepal

There are some excellent private clinics, hospitals, and dentists in Kathmandu. In general, however, health care is poor in the other parts of the country.

 

 

Standard vaccinations

Generally recommended vaccinations for Nepal are Hepatitis A and Typhoid.

 

 

Cholera

Cases of cholera have been reported in Kathmandu and seasonal outbreaks across the country are common during the Monsoon season (June to September). To minimise the risk of illness, tourists should eat in restaurants only (there is an abundance of them) rather than off the street. Avoid drinking unboiled tap water, ice, and raw or undercooked vegetables. 

 

 

Malaria

Malaria remains relatively rare in the hills and mountains, including the Kathmandu Valley. Most trekkers do not take anti-malaria medicines. For specific information on malaria in Nepal please click here

 

For those going on a jungle safari in Chitwan, although it lies in the Terai, there is a generally regarded low malaria risk by Nepalese doctors. However you must take mosquito bite precautions which include:

 

1) Covering up exposed skin by using long sleeve clothes, full length light trousers and socks (especially after sunset)

2) Use insect repellants. We recommend a deet free and vegan friendly natural repellant called Incognito

3) Use a mosquito net when sleeping

 

If you are concerned about malaria please seek medical advice. Please note that often travel medical clinics are more knowledable than general doctors in this area. If you are living in the UK we recommend you visit the Nomad Travel Store where you can get advice, anti-malarial medicines as well as other recommended vacinations.

 

Symptoms of malaria (from NHS website)

 

Malaria can develop as quickly as seven days after you are bitten by an infected mosquito. Typically, the time between being infected and when symptoms start (incubation period) is seven to 18 days, depending on the specific parasite you are infected with. However, in some cases it can take up to a year for symptoms to develop.

 

The initial symptoms of malaria are flu-like and include a high temperature (fever), headache, sweats, chills and vomiting. These symptoms are often mild and can sometimes be difficult to identify as malaria.

 

With some types of malaria, the fever occurs in four to eight hour cycles. During these cycles, you feel cold at first with shivering that lasts for up to an hour. You then develop a fever that lasts for two to six hours, accompanied by severe sweating.

 

Other symptoms of malaria can include: 

 

1) Muscle pains
2) Diarrhoea

3) Generally feeling unwell

 

Rabies

Rabies is present in Nepal but there is a minimal risk of exposure in the mountains. Stay alert around stray animals (including monkeys) and seek immediate medical advice if bitten or scratched. In the mountains there are no stray animals.

 

 

Japanese encephalitis

The World Health Organization advises short-term visitors to Nepal during the rainy season (June-September) and all long-term visitors to Nepal to obtain Japanese encephalitis vaccinations before travelling.

 

 

Tourists should check the recommended vaccinations with the doctor, practice nurse, or local travel health clinic. If you live in the UK we recommend seeing a practice nurse at the Normad Travel Clinic